Ahmadkaraji Shahrzad, Farahani Hojjatollah, Orfi Koosha, Fathali Lavasani Fahimeh
Department of Clinical Psychology, School of Behavioral Sciences and Mental Health, Tehran Institute of Psychiatry, Iran University of Medical Sciences, Tehran, Iran.
Minimally Invasive Surgery Research Center, Rasool-e-Akram Hospital, Iran University of Medical Sciences, Tehran, Iran.
J Eat Disord. 2023 Jun 13;11(1):97. doi: 10.1186/s40337-023-00815-x.
Problematic eating behaviors can indicate obesity-related problems. Food addiction (FA) is not classified as an official diagnosis. However, given the many commonalities between FA and binge-eating disorder (BED) within the context of obesity, it is imperative to conduct a comparative investigation. The current study aimed to identify overlapping and distinctive features in emotion dysregulation as an underlying mechanism and emotional eating as a clinical feature among four groups of females with obesity seeking bariatric surgery.
Data on emotion dysregulation and emotional eating were derived from the total 128 Females with obesity seeking bariatric surgery (M = 38.91 ± 10.59, M = 42.10 kg/m ± 4.43) divided into four groups: those with FA (n = 35), BED (n = 35), BED + FA (n = 31) and a control group of individuals with obesity only (OB; n = 27), using well-established measures.
Regarding descriptive statistics, the BED + FA group showed the highest levels of emotional dysregulation (M = 111.09) and emotional eating (M = 46.80), while the OB group acquired the lowest scores (M = 70.44 and M = 27.29, respectively). Univariate analyses of variance revealed significant differences between the four groups in terms of emotion dysregulation F(3, 124) = 24.63, p < .01 and emotional eating F(3, 124) = 26.26, p < .01. All of the emotion dysregulation domains revealed significant differences too. Pairwise comparisons using Bonferroni post hoc tests did not reveal any significant differences between BED + FA and BED groups, while all of our other hypotheses regarding this matter were confirmed.
The study found that individuals with obesity and comorbid BED exhibit greater emotional dysregulation compared to those with OB or FA, indicating a need to assess BED in individuals with obesity. Emotion dysregulation may be linked to increased BED and FA, but those with BED seem more affected by limited access to emotion regulation strategies. These findings support the notion that PEBs are associated with emotion dysregulation and underscore the need for tailored interventions that target emotion regulation skills before and after bariatric surgery.
有问题的饮食行为可能预示着与肥胖相关的问题。食物成瘾(FA)未被列为官方诊断。然而,鉴于在肥胖背景下FA与暴饮暴食症(BED)之间存在诸多共性,进行一项对比研究势在必行。本研究旨在确定四组寻求减肥手术的肥胖女性中,作为潜在机制的情绪调节障碍以及作为临床特征的情绪化进食的重叠和独特特征。
关于情绪调节障碍和情绪化进食的数据来自总共128名寻求减肥手术的肥胖女性(M = 38.91±10.59,M = 42.10 kg/m±4.43),她们被分为四组:FA组(n = 35)、BED组(n = 35)、BED + FA组(n = 31)以及仅肥胖对照组(OB;n = 27),采用成熟的测量方法。
关于描述性统计,BED + FA组的情绪调节障碍(M = 111.09)和情绪化进食(M = 46.80)水平最高,而OB组得分最低(分别为M = 70.44和M = 27.29)。单因素方差分析显示,四组在情绪调节障碍方面存在显著差异,F(3, 124) = 24.63,p <.01;在情绪化进食方面也存在显著差异,F(3, 124) = 26.26,p <.01。所有情绪调节障碍领域也都显示出显著差异。使用Bonferroni事后检验进行的两两比较未发现BED + FA组与BED组之间存在任何显著差异,而我们关于此事的所有其他假设均得到证实。
研究发现,与OB或FA患者相比,患有肥胖症合并BED的个体表现出更大的情绪调节障碍,这表明需要对肥胖个体进行BED评估。情绪调节障碍可能与BED和FA的增加有关,但患有BED的个体似乎更容易受到情绪调节策略有限的影响。这些发现支持了问题性饮食行为与情绪调节障碍相关的观点,并强调了在减肥手术前后针对情绪调节技能进行量身定制干预的必要性。